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Tag: Medicare

PACE Landscape

This edition provides an overview of the PACE model, which delivers comprehensive, community-based care for adults aged 55+ who need nursing home-level of care. As of March 2025, 184 organizations operate over 300 PACE centers in 33 states and DC,…

Apr. 14, 2025 Download 5 slide

KEYWORDS:Medicaid, Medicare, PACE

Medicare Special Needs Plan (SNP) Program Trends

The information tabulated and presented shows the progression of Medicare Special Needs Plan (SNP) health plan participation and SNP enrollment across the past decade – looking specifically at January of 2013, 2018, and 2023. By just about every measure, the…

Jan. 31, 2023 Download 5 slide

KEYWORDS:Enrollment, Medicare

County Level Coronavirus Tabulations in Selected States California, Louisiana, Massachusetts, and New Jersey.

This edition about the pandemic zooms in on California, Louisiana, Massachusetts, and New Jersey, conveying county-level tabulations regarding the per capita rate of confirmed COVID-19 cases as of yesterday. We also show the number and proportion of Medicare beneficiaries in each…

Mar. 19, 2020 Download 5 slide

KEYWORDS:COVID-19, Medicare, Policy

Health Insurance Trends Through the Past Four Decades

This edition of the 5-Slide Series explores how the insurance landscape has changed across four decades spanning 1980—2020 We contrasted Medicaid and Medicare enrollment trends with growth in the overall population of the United States.

Nov. 1, 2019 Download 5 slide

KEYWORDS:Medicaid, Medicare, Policy

Medicare MCO Quality Tabulations: NCQA Rating Year 2019-2020

The September and October editions of our 5 Slide Series provides our tabulations and analysis of the NCQA Quality Ratings for Medicaid MCOs (September edition) and Medicare MCOs (October edition) in Rating Year 2019-2020. We looked at the national distribution…

Oct. 1, 2019 Download 5 slide

KEYWORDS:Medicare, Quality

MCO Marketing Spending Across Product Types

The June 2019 Edition was produced by Manisha Gupta and Mohammed Hamdan. It focuses on the level of marketing spending in the MCO industry, comparing the Medicaid, Medicare, and commercial sectors. On average, we found that Medicaid MCOs used 0.19%…

Jun. 1, 2019 Download 5 slide

KEYWORDS:Expenditures, Medicaid, Medicare

Piloting Medicare Mandatory Enrollment Into Coordinated Care

The May edition outlines a pilot program we encourage Medicare policymakers to adopt. It involves testing Medicaid’s key design features in the Medicare arena, which if successful could evolve into a fundamental transformation of Medicare as has occurred with Medicaid…

May. 1, 2019 Download 5 slide

KEYWORDS:Enrollment, Medicare, Policy

An Overview of a Pop Up Community Clinic in Redmond, WA

This edition describes a Pop-Up Clinic founded and led by one of our employees, Nehath Sheriff. This type of construct could be a low-cost, high-value option to consider for organizations seeking to “meet underserved subgroups where they are."

Apr. 1, 2019 Download 5 slide

KEYWORDS:Medicaid, Medicare, Policy

An Analysis of Medicare Part D and Medicaid Prescription Drugs

This month’s edition analyzes and compares prescription volume and drug costs in the Medicaid and Medicare Part D programs. We tabulated pre-rebate cost per prescription for each program from 2013-2017. We also analyzed trends in specialty drug volume and expenditures…

Mar. 1, 2019 Download 5 slide

KEYWORDS:Expenditures, Medicaid, Medicare, Prescription Drugs